Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $431.12 / $6,067.00	Facility		$100.00	$431.12	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.19 / $135.79 / $169.16	Professional		$122.19	$135.79	$169.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.15 / $244.59 / $360.52	Professional		$148.15	$244.59	$360.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.37 / $1,751.69 / $1,812.99	Facility		$170.37	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.15 / $257.38 / $382.61	Professional		$172.15	$257.38	$382.61
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $169.60 / $278.25 / $523.47	Professional		$169.60	$278.25	$523.47
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.30 / $199.80 / $369.46	Professional		$148.30	$199.80	$369.46
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $102.72 / $112.99 / $143.81	Professional		$102.72	$112.99	$143.81